SCOTT SABOLICH PROSTHETIC AND RESEARCH LLC (NPI# 1417244195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244195 |
| Entity Type | Organization |
| Organization Name | SCOTT SABOLICH PROSTHETIC AND RESEARCH LLC |
| Practice Address |
15900 Preston Rd Dallas TX 75248-3551 |
| Mailing Address |
Po Box 16231 Oklahoma City OK 73113-2231 |
| Practice Telephone | 8772265424 |
| Practice Fax Number | 4058419885 |
| Mailing Telephone | 4058416800 |
| Mailing Fax Number | 4058419885 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | SCOTT A SABOLICH (OWNER/MANAGER) |
| Authorized Official Telephone | 4058416800 |
| Authorized Official Credential | CP |
| Is Organization Subpart | Y |
| Parent Organization Name | SCOTT SABOLICH PROSTHETIC AND RESEARCH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CP2626 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 162712701 | 05 | |
| OK | 100812550A | 05 |
| Street Address |
15900 PRESTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75248-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334053 | Jeffrey Howard Waldmuller | Prosthetist | 15900 Preston Rd, Dallas, TX 75248-3551 | 2017-08-30 |
| 1063953131 | Brian James | Orthotist | 15900 Preston Rd, Dallas, TX 75248-3551 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
| 1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
| 1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
| 1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
| 1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
| 1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
| 1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
| 1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
| 1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
| 1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
| Find all providers in zip 75248 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1912535121 | Marvin Friedman | Prosthetic/Orthotic Supplier | 13601 Preston Rd Ste 205w, Dallas, TX 75240-4947 | 2020-04-01 |
| 1841780962 | Ashley Ferguson | Prosthetic/Orthotic Supplier | 1811 Greenville Ave Ste 100, Dallas, TX 75206-7485 | 2018-05-14 |
| 1902307937 | Myhair, LLC | Prosthetic/Orthotic Supplier | 1408 N Riverfront Blvd # 304, Dallas, TX 75207-3912 | 2018-02-25 |
| 1326585506 | Tiffany Rodgers | Prosthetic/Orthotic Supplier | 6632 Mattney Dr, Dallas, TX 75237-2447 | 2017-01-25 |
| 1528469764 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1311 Record Crossing Rd, Dallas, TX 75235-6003 | 2014-09-08 |
| 1215262373 | Reliant Prosthetics | Prosthetic/Orthotic Supplier | 5481 Blair Rd Ste 100, Dallas, TX 75231-4101 | 2009-10-07 |
| 1760668552 | O & P Designs, Inc. | Prosthetic/Orthotic Supplier | 10525 Newkirk St, Suite 260, Dallas, TX 75220-2330 | 2008-01-11 |
| 1134326614 | Belt Line Medical Supply | Prosthetic/Orthotic Supplier | 7989 Belt Line Rd, Suite # 109, Dallas, TX 75248-5734 | 2007-06-28 |
| 1780707786 | Mcmahan Shoes, Inc. | Prosthetic/Orthotic Supplier | 3903 Gaston Ave, Dallas, TX 75246-1512 | 2007-04-06 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.